[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-2-maternal-pediatric-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":63},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-108-2-產兒科護理學-021","nurse-108-2-maternal-pediatric-021",108,2,21,"劉女士 G 2 P 2 ，陰道生產，產後第 2 天主訴：「我的子宮收縮怎麼這麼痛」，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"經產婦的肌肉張力較鬆弛，故疼痛感更明顯","這是因為子宮收縮造成的正常現象","建議熱敷或輕撫按摩緩解疼痛","此現象稱為產後痛，約持續 7 天就會減輕","D",null,[],"本題考點是產後痛（afterpains）的衛教，屬找錯誤題。依產後子宮收縮生理，產後痛源自子宮間歇強力收縮以復舊止血，經產婦因子宮肌肉張力較鬆弛、需更強收縮，加上哺乳時催產素釋放，疼痛感較初產婦明顯，一般約持續 2～3 天後減輕。D「約持續 7 天就會減輕」時程過長、不符典型，故 D 為錯誤、即為答案。A 經產婦肌張力較鬆、痛感更明顯，正確。B 為子宮收縮造成的正常現象，正確。C 可用熱敷或輕撫按摩緩解，屬適當的非藥物措施，正確。","產後痛機轉：子宮為止血與復舊而收縮，經產婦與多胎、羊水過多者因子宮過度延展、肌張力差，需間歇性強收縮（而非持續性收縮）故更痛；哺乳刺激乳頭→催產素分泌→子宮收縮加劇，故餵奶時常更明顯。時程約 2～3 天漸緩。緩解：熱敷、按摩、俯臥、必要時止痛。記憶：『產後痛＝經產婦、餵奶時最有感，兩三天就好』，凡拉長到一週即為陷阱。",[24,27,30,33],{"term":25,"count":26},"催產素",8,{"term":28,"count":29},"產後痛 afterpains",3,{"term":31,"count":32},"子宮收縮復舊",1,{"term":34,"count":32},"經產婦子宮張力",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-2-maternal-pediatric-022","有關母嬰親善醫院的 10 項措施，下列何者可直接促進親子依附關係？",22,{"webId":41,"stem":42,"number":43,"year":44,"session":32},"nurse-109-1-maternal-pediatric-038","有關子宮內膜癌之敘述，下列何者正確？",38,109,{"webId":46,"stem":47,"number":48,"year":44,"session":10},"nurse-109-2-maternal-pediatric-052","下列何者不屬於新生兒篩檢的項目？",52,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-111-1-maternal-pediatric-010","有關胎兒染色體檢查的敘述，下列何者錯誤？",10,111,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-112-1-maternal-pediatric-054","有關早產兒視網膜病變的高危險群與症狀，下列敘述何者不適當？",54,112,{"webId":60,"stem":61,"number":43,"year":62,"session":32},"nurse-113-1-maternal-pediatric-038","陳小弟，5歲，罹患扁桃腺炎（tonsillitis），接受扁桃腺切除手術（tonsillectomy），下列術後護理何者正確？",113,"2026-09-04",1788510707033]